| NPI | 1174418180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 2894) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 529166) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |