NPI | 1619453636 |
---|---|
Former Name | KATHERINE CAMERER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2020013061) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL014013) |
235Z00000X Speech-Language Pathologist (Licence: OH SP.13805) | |
Enumeration Date | 2018-07-12 |
Last Update Date | 2020-11-18 |