NPI | 1255839189 |
---|---|
Former Name | KATHERINE SARAH CALCATERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60801003) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-01-25 |