NPI | 1265905012 |
---|---|
Former Name | KIARA COOLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7151001784) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-01-04 |
Last Update Date | 2024-01-11 |