NPI | 1598373045 |
---|---|
Former Name | KATHRYN MERRITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78145-SP-SL) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
Enumeration Date | 2020-07-21 |
Last Update Date | 2021-07-26 |