| NPI | 1992995823 |
|---|---|
| Former Name | KATHLEEN MARIE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 9077) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 5088) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2012-03-19 |