NPI | 1225155872 |
---|---|
Former Name | KAREN LOVE HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002826) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116525) |
235Z00000X Speech-Language Pathologist, (Licence: SC 7625) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2021-08-18 |