NPI | 1417208398 |
---|---|
Former Name | KRISTEN J HNOTTAVANGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008437) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2012-10-02 |
Last Update Date | 2015-12-02 |