| NPI | 1982948691 |
|---|---|
| Former Name | KATHRYN NICHOLE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008398) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL PCET001851) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2013-12-20 |