NPI | 1891993739 |
---|---|
Other Name | BETH POTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1631) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002746A) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2019-11-23 |