| NPI | 1144743105 |
|---|---|
| Former Name | KIMBERLEY BROOMFIELD CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007226) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |