NPI | 1639741010 |
---|---|
Former Name | KANSAS COURTNEY MERRITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005847) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3055) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2024-06-28 |