| NPI | 1447921044 |
|---|---|
| Former Name | LAUREN KELLY KOOLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 4446) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |