| NPI | 1447450911 |
|---|---|
| Former Name | KRISTIN FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202005247) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 06913) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-07-11 |