NPI | 1194473033 |
---|---|
Former Name | KJIRSTEN CYNTHIA NOEL COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 11785473-4102) |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-10 |