| NPI | 1114478096 |
|---|---|
| Former Name | KALIE WALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19430) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2024-03-19 |