NPI | 1518216084 |
---|---|
Former Name | CRISTI FARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08468) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O4-0000351) |
235Z00000X Speech-Language Pathologist, (Licence: PA 14033497) | |
235Z00000X Speech-Language Pathologist, (Licence: DC SLP000763) | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2020-10-01 |