NPI | 1730526708 |
---|---|
Former Name | SARAH KRISTEN GARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008619) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001893) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2014-08-27 |