| NPI | 1952893505 |
|---|---|
| Former Name | MCKENZIE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 200517) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-02-09 |