NPI | 1841351657 |
---|---|
Former Name | KELLY FROKLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001798) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004437) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2022-08-31 |