NPI | 1841386430 |
---|---|
Former Name | KIMBERLY WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008459) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013150) |
235Z00000X Speech-Language Pathologist, (Licence: NJ YS00413300) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-09-08 |