| 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 |