NPI | 1063777308 |
---|---|
Former Name | KRISTIN MARIE MULLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP 0000004202) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2013-05-20 |