NPI | 1386945764 |
---|---|
Former Name | KRISTIN JOLENE KNIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006266A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105883) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2019-05-06 |