NPI | 1922380500 |
---|---|
Former Name | KRISTA LYNN HELLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.001856) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011107) |
Enumeration Date | 2011-09-09 |
Last Update Date | 2021-04-10 |