| NPI | 1356955140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528672) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7151013310) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-07-12 |