| NPI | 1689284069 | 
|---|---|
| Former Name | KRISTEN ALEXA SKONBERG | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: LA 7936)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: VA 2202009628)  | 
| Enumeration Date | 2020-07-31 | 
| Last Update Date | 2025-07-17 |