| NPI | 1043042005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN LICC-3915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 2738) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-07-24 |