| NPI | 1578960837 |
|---|---|
| Former Name | KATELYN KETCHUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001928) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 10480) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2024-02-13 |