| NPI | 1225696099 |
|---|---|
| Former Name | KIRSTEN EILEEN HOLMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14396) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9044) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-07-14 |