NPI | 1740474790 |
---|---|
Former Name | JENNIFER D KILMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10053) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2007-09-04 |
Last Update Date | 2013-08-27 |