| NPI | 1063850618 |
|---|---|
| Former Name | KIMBERLY ELLEN HACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001374) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 040000373) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2015-04-16 |