NPI | 1043610264 |
---|---|
Former Name | KAREN LEIGH KESTERHOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11400) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11544) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2015-07-16 |