NPI | 1770810756 |
---|---|
Former Name | KRISTEN ANNE KAMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3293154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3293-154) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2022-05-27 |