NPI | 1720455009 |
---|---|
Former Name | KRISTEN CRUICKSHANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLP9612) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ Slpa9612) |
Enumeration Date | 2015-08-21 |
Last Update Date | 2018-11-30 |