| NPI | 1912452186 |
|---|---|
| Former Name | KRISTIN BLUMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0114411) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23464) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |