| NPI | 1003250861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528912) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201829) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-07-17 |