NPI | 1063994747 |
---|---|
Former Name | KRISTEN LEE HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13694) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH cond.2018867-SP) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2022-05-17 |