| NPI | 1760627749 |
|---|---|
| Former Name | JESSICA KRISPIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10176) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 12120926) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2015-08-31 |