| NPI | 1023641586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528704) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP27562) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2023-09-13 |