| NPI | 1801295142 |
|---|---|
| Former Name | KAYLI ELIZABETH SELF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113814) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002088) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-08-31 |