NPI | 1346822475 |
---|---|
Former Name | KATELYN LOIS DRAPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000756) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-27 |
Last Update Date | 2025-01-28 |