| NPI | 1366488629 |
|---|---|
| Former Name | KRISLYN J HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 0244) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 1670) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-09-20 |