NPI | 1629052659 |
---|---|
Other Name | KRISTI LYN SAUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID OT495) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA OT00002780) |
235Z00000X Speech-Language Pathologist, (Licence: OR 1013068) | |
Enumeration Date | 2005-12-02 |
Last Update Date | 2007-07-08 |