| NPI | 1336261791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7856) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0367) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-08 |