NPI | 1740588813 |
---|---|
Former Name | KIMBERLY ADELEEN YON GUILMET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005950) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 16250) |
Enumeration Date | 2011-03-14 |
Last Update Date | 2019-06-11 |