| NPI | 1104122415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 474022) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 000439055) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2026-04-08 |