NPI | 1801247382 |
---|---|
Former Name | JOANNA CATHLEEN STEGEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 12014) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-06-27 |