NPI | 1922735885 |
---|---|
Former Name | KATHERINE ELIZABETH BRANUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP13835) |
Enumeration Date | 2022-08-02 |
Last Update Date | 2022-08-02 |