NPI | 1528103405 |
---|---|
Former Name | KIMBERLY BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000351) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0312634) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2021-10-26 |