NPI | 1669927778 |
---|---|
Former Name | KARISSA B SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2015016450) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2016-08-18 |
Last Update Date | 2018-09-05 |