| NPI | 1982259743 |
|---|---|
| Former Name | KAITLYN FISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 8165) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 14394) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2025-11-03 |