NPI | 1629561782 |
---|---|
Former Name | KRISTA BELVILLE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 012285) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28462) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2024-02-28 |