| NPI | 1215455134 |
|---|---|
| Former Name | KRISTIN M GRODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6884) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242004489) |
| 235Z00000X Speech-Language Pathologist, (Licence: 14174741) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-12-15 |