NPI | 1194946194 |
---|---|
Former Name | CHRISTINA A. FORSGREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007353) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007353) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2014-01-02 |