NPI | 1629445523 |
---|---|
Former Name | KRISTA HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15194) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7232) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2021-06-22 |