| NPI | 1053730770 |
|---|---|
| Former Name | KAILLIE MARIE ENSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004721) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2018-09-13 |