NPI | 1740667831 |
---|---|
Former Name | LINDSEY BROOKE CIKANEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3715) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014039595) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2017-07-03 |