NPI | 1114201258 |
---|---|
Former Name | SHERRY 'KATE' MAEBETHRINE GRAZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 4602) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2012-06-12 |