| NPI | 1003168816 |
|---|---|
| Former Name | KIMBERLY ANNE DIMAYUGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 111855) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2022-07-07 |