| NPI | 1417401217 |
|---|---|
| Former Name | STEPHANIE SUZANNE CHRISTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP4750) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |