NPI | 1912152554 |
---|---|
Former Name | KRISTINA PIPKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 2463) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2008-11-24 |
Last Update Date | 2018-03-17 |