NPI | 1548496961 |
---|---|
Former Name | LARISA KLAPPERICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60459783) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3502) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2015-04-30 |