| NPI | 1033757364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10545) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 096559) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-10-14 |