NPI | 1962840280 |
---|---|
Former Name | MCKENZIE LEE WILKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11445) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP11445) |
Enumeration Date | 2013-06-08 |
Last Update Date | 2019-07-04 |