NPI | 1124534284 |
---|---|
Former Name | KATHERINE MARIE CLOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13433) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014398) |
Enumeration Date | 2017-12-26 |
Last Update Date | 2021-07-12 |