| NPI | 1417467663 |
|---|---|
| Former Name | RACHEL KATHRYN ANTRIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1227) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 125430) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-08-23 |