NPI | 1023266723 |
---|---|
Former Name | KALLI CHRISTINE BOLLENBACHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60032987) |
Enumeration Date | 2008-09-05 |
Last Update Date | 2014-02-21 |