NPI | 1316274384 |
---|---|
Former Name | KATHRYN PAULS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2660) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2660-154) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2018-04-03 |