| NPI | 1952551962 |
|---|---|
| Former Name | MEGAN ELIZABETH WIKSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31660) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 13137) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-08-09 |