NPI | 1073933248 |
---|---|
Former Name | KRISTIN ELIZABETH FOLK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MN 9095) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MN 1006764) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2022-08-02 |