NPI | 1417354143 |
---|---|
Former Name | KATHRYN MARIE FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11332) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001532) |
Enumeration Date | 2014-11-24 |
Last Update Date | 2014-11-24 |