NPI | 1104156173 |
---|---|
Former Name | KATHERINE COURTNEY JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2010-01-13 |
Last Update Date | 2018-08-29 |