NPI | 1265940480 |
---|---|
Former Name | LAUREN KATHLEEN WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 269094) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6823) |
235Z00000X Speech-Language Pathologist, (Licence: LA 7953) | |
Enumeration Date | 2018-01-22 |
Last Update Date | 2021-04-15 |