| NPI | 1265830491 |
|---|---|
| Former Name | KELLY SUE WATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP 8850) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109515) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12803) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |