NPI | 1720328537 |
---|---|
Former Name | KATHERINE BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011942) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1411) |
Enumeration Date | 2013-02-15 |
Last Update Date | 2016-01-06 |