NPI | 1538638200 |
---|---|
Former Name | KAITLYN ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18902) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121876) |
Enumeration Date | 2018-11-25 |
Last Update Date | 2024-11-04 |