| 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 |