NPI | 1407286677 |
---|---|
Former Name | KAITLIN ELIZABETH SCHWENDEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014021334) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2015-01-22 |