| NPI | 1043585086 |
|---|---|
| Former Name | KATHRYN L MCCLOCKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2009001613) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011007) |
| 283X00000X Rehabilitation Hospital | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2024-07-02 |