NPI | 1669693222 |
---|---|
Former Name | STEPHANIE ANN KAYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60032975) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2540154) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2011-05-10 |