NPI | 1346802444 |
---|---|
Former Name | KAITLIN ANNE KOPIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14278) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SZ8667) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2021-09-03 |