NPI | 1093082752 |
---|---|
Former Name | KATLYN MCGRATTAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10172) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4711 SPIN) |
235Z00000X Speech-Language Pathologist, (Licence: MA 77035) | |
Enumeration Date | 2011-11-23 |
Last Update Date | 2023-07-13 |