NPI | 1124870423 |
---|---|
Former Name | KAITLYN ALEXANDRA JANOWIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010066) |
Enumeration Date | 2024-04-02 |
Last Update Date | 2024-04-02 |