NPI | 1336652072 |
---|---|
Former Name | KRISTYN EVELYN STANFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013973) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2017-11-15 |