| NPI | 1619606407 |
|---|---|
| Former Name | KAYLA MARIE MCKIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004691) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14315348) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-01-27 |