| NPI | 1912651365 |
|---|---|
| Former Name | MICKENZIE ROSE PLINSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010749) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY P113840) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 032753) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2023-02-17 |