| NPI | 1033408463 |
|---|---|
| Former Name | SARA DARLENE KIETZMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11769) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5353) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2022-10-11 |