| NPI | 1053729657 |
|---|---|
| Former Name | STACEY LEIGH KRONMUELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006015432) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3103) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |