| NPI | 1508172644 |
|---|---|
| Former Name | KATHLEEN MARIE TUCEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011018380) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2010028871) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2012-09-28 |