NPI | 1942786504 |
---|---|
Former Name | MEGAN KEMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014561) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL000404) |
Enumeration Date | 2018-07-17 |
Last Update Date | 2021-07-26 |