NPI | 1255994869 |
---|---|
Former Name | KATELYN MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 17802) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2019-04-18 |
Last Update Date | 2024-10-31 |