NPI | 1942512652 |
---|---|
Other Name | KIMBERLY CRESCENTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA10982) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 020090-1) |
Enumeration Date | 2010-07-10 |
Last Update Date | 2012-12-11 |