NPI | 1518277292 |
---|---|
Former Name | KATHLEEN THERESE BUTANOWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10428) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2010-10-15 |