| NPI | 1609118546 |
|---|---|
| Former Name | KRISTY L JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108503) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4324) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2014-06-03 |