NPI | 1104530922 |
---|---|
Former Name | KAYLEE JOYCE SCHOLTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 1347-SLP) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 1139-Prov) |
Enumeration Date | 2023-01-06 |
Last Update Date | 2025-02-27 |