| NPI | 1063925394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 14151039) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-03-17 |