NPI | 1619444676 |
---|---|
Former Name | KATHARINE MARGARET ELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005259) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-10-29 |