| NPI | 1255754586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 501342) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5132) |
| 235Z00000X Speech-Language Pathologist, (Licence: WI 4594-154) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2018-10-02 |