| NPI | 1356915391 |
|---|---|
| Former Name | KATHLEEN PATRICIA VANDERVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61172495) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |