| NPI | 1861556532 |
|---|---|
| Other Name | HEATHER OLINDA KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS TSLP2426) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006032148) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |