NPI | 1801120795 |
---|---|
Former Name | EVIE R. KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL000184L) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007603L) |
Enumeration Date | 2009-09-24 |
Last Update Date | 2009-09-24 |