NPI | 1215527312 |
---|---|
Former Name | KELBY SEIVERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S-5118) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
235Z00000X Speech-Language Pathologist, (Licence: FL sz9942) | |
Enumeration Date | 2021-01-22 |
Last Update Date | 2024-04-01 |