| NPI | 1811510878 |
|---|---|
| Former Name | JACQUELYN KIELB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008374) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000316) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2026-01-12 |