NPI | 1750668083 |
---|---|
Former Name | KRISTIN ADAIR SOHOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1161) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8760) |
Enumeration Date | 2011-11-15 |
Last Update Date | 2019-09-05 |