| NPI | 1952037673 |
|---|---|
| Former Name | MCKENNA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121489) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61327248) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-05-21 |