NPI | 1013776459 |
---|---|
Former Name | KRISTEN NICOLE JANDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002616) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2024-03-18 |
Last Update Date | 2024-08-16 |