NPI | 1598881328 |
---|---|
Former Name | KIERSTIN SANDBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 491731-4102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 4917310-4102) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2023-01-18 |