| NPI | 1528203486 |
|---|---|
| Former Name | KIRSTEN ANNE RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 012055-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00408600) |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2008-12-06 |