| NPI | 1811388507 |
|---|---|
| Former Name | KELSEY LYN BOLKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC .5933) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14287) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6851) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2016-02-24 |