NPI | 1770178618 |
---|---|
Former Name | BAILEY KATHERINE SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7506) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 4705) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-03-03 |