| NPI | 1346535671 | 
|---|---|
| Former Name | KRISTEN ELYCE BURKHART | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: CA 17880)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: FL SA 12374)  | 
| Enumeration Date | 2011-06-15 | 
| Last Update Date | 2014-03-17 |