NPI | 1588132153 |
---|---|
Former Name | KATHRYN KAREN SCISLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29293) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16577) |
Enumeration Date | 2018-11-12 |
Last Update Date | 2020-07-10 |