NPI | 1598311888 |
---|---|
Former Name | KERI LYNN KLEINHOLZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA10928) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2019-08-13 |