NPI | 1447312327 |
---|---|
Former Name | BEATRICE ALICE KIRCHHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16450) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 4472) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2020-03-26 |