NPI | 1356740260 |
---|---|
Former Name | DE KEIA KALB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7404) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008784) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2021-01-29 |