| NPI | 1245723105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 242261) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 518296) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146014796) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-03-29 |