| NPI | 1699920421 |
|---|---|
| Former Name | TIFFANY KERSTETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 16835) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60023213) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2023-12-27 |