| NPI | 1093195299 |
|---|---|
| Former Name | SARA ELIZABETH KRUKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007027) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-07-29 |