NPI | 1316277452 |
---|---|
Former Name | KIMBERLY A KASICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15561) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00540400) |
Enumeration Date | 2010-01-13 |
Last Update Date | 2022-12-12 |