NPI | 1043982135 |
---|---|
Former Name | KELSEY ROSE BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 033394) |
Enumeration Date | 2021-09-28 |
Last Update Date | 2024-12-20 |