| NPI | 1093326233 |
|---|---|
| Former Name | KRYSTA JEAN DEXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15327) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-89854) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-04-20 |