NPI | 1639510993 |
---|---|
Former Name | KELLY REINHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023037-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58023037) |
235Z00000X Speech-Language Pathologist, | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2019-10-16 |