NPI | 1043765993 |
---|---|
Former Name | KRISTIN SHRON LAFRATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013641) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111415) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2019-03-05 |