| NPI | 1861278400 |
|---|---|
| Former Name | KATHERINE JAYNE KETTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 6547402-4102) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |