NPI | 1477706091 |
---|---|
Former Name | KRISTY MICHELLE NANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2008-10-28 |
Last Update Date | 2024-07-25 |