| NPI | 1083206874 |
|---|---|
| Former Name | KATELYN KLUG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114013) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-301926) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |