NPI | 1376090340 |
---|---|
Former Name | KATHERINE A NEVINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 01102145) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 13275) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |