NPI | 1356918510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 518226) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5245) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2022-06-20 |