| 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 |