| NPI | 1497151914 |
|---|---|
| Former Name | KATIE BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4243) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2018011790) | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2018-08-28 |