| NPI | 1740812734 |
|---|---|
| Former Name | KIRSTEN KOVACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 201922) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 20201279) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-08-05 |