| NPI | 1023467719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4289) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-11-07 |