| NPI | 1063479640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7552) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2875) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-10-14 |