| NPI | 1215960208 |
|---|---|
| Former Name | KELLY J MONTACUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3968) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 114176) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |