NPI | 1073984852 |
---|---|
Former Name | KATLIN BOYCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005205) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9521) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2019-11-06 |