| NPI | 1760136667 |
|---|---|
| Former Name | KATHARINA LARA BERTIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007669) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61219960) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2024-09-12 |