| NPI | 1902827652 |
|---|---|
| Former Name | KATHERINE ROSE NUCKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2750-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6366) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |