NPI | 1568536928 |
---|---|
Professional Name | KATHY GRAVELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08396) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-4134) |
235Z00000X Speech-Language Pathologist, (Licence: TN SP 0000004935) | |
235Z00000X Speech-Language Pathologist, (Licence: FL SA 9250) | |
235Z00000X Speech-Language Pathologist, (Licence: GA SLP005728) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2022-07-21 |