| NPI | 1992227755 |
|---|---|
| Former Name | KERRY MARIE HANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016026846) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61426941) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2025-08-11 |