| NPI | 1679129589 |
|---|---|
| Former Name | KIMBERLY DAWN OSTERGAARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004668) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-01-13 |