NPI | 1245369701 |
---|---|
Former Name | KRISTINE DAWN HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.8729) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11887) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2025-01-09 |