| NPI | 1003300054 |
|---|---|
| Former Name | KAITLIN JUERGENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007390A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46003008A) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2020-01-30 |