| NPI | 1922561455 |
|---|---|
| Former Name | ALEXIS MCKENZIE GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2018920-SP) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |