NPI | 1033391412 |
---|---|
Former Name | KATIE A STEPHENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004936A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242000708) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2024-06-24 |