| NPI | 1861004889 |
|---|---|
| Former Name | KRYSTA VITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14445) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20201290-SP) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2022-05-06 |