NPI | 1619322997 |
---|---|
Former Name | KATHERINE MICHELLE BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004774) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2016-04-25 |