NPI | 1437593225 |
---|---|
Former Name | KAITLYN ALEXIS KLUDJIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009137) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL Sa12172) |
235Z00000X Speech-Language Pathologist, (Licence: MA 8739) | |
235Z00000X Speech-Language Pathologist, (Licence: NH 1460) | |
Enumeration Date | 2013-04-23 |
Last Update Date | 2016-08-16 |