| NPI | 1134008204 |
|---|---|
| Other Name | BETHANY GRACE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MO 2025037524) |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |