| NPI | 1700264876 |
|---|---|
| Former Name | KAITLIN AMANDA BAARCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012604) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 24086) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2021-10-01 |