NPI | 1912383878 |
---|---|
Former Name | KATHERINE AGNES TOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 24157) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 9859) |
Enumeration Date | 2015-08-03 |
Last Update Date | 2024-05-15 |