NPI | 1083944458 |
---|---|
Former Name | KASSIE MARIE EHRESMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 187) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2010-01-07 |
Last Update Date | 2025-04-12 |