| NPI | 1134200736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 5227) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 527) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-09 |