NPI | 1194010215 |
---|---|
Former Name | KATHRYN ANN STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IA 077678) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP7281) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2018-04-27 |