| NPI | 1881021558 |
|---|---|
| Former Name | KRISTEN MICHELLE VAN DILLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011870) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |