| NPI | 1841593878 |
|---|---|
| Former Name | BRENDA R KOESEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 00003374) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN SP 0000004292) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 13026) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2012-07-25 |