NPI | 1639573736 |
---|---|
Former Name | KATHRYN LESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012977) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242003261) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2015-11-12 |