| NPI | 1922201466 |
|---|---|
| Former Name | JENNIFER ELENA FORSTER GULBRANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2941) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |