| NPI | 1073737359 |
|---|---|
| Former Name | CHRISTINA SUSAN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2524) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005001732) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-03-07 |