| NPI | 1043826019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 518289) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5094) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2022-03-10 |