NPI | 1609653823 |
---|---|
Former Name | KRISTY LYNN CLEMENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: LA 4850) |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |