NPI | 1104563667 |
---|---|
Former Name | KATHRYN MARIE LORCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21360) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-05-17 |
Last Update Date | 2023-04-19 |