| NPI | 1902147424 |
|---|---|
| Former Name | KEISHA MAGWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06902) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006411) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2017-04-14 |