| NPI | 1376097014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2441) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8939) |
| 235Z00000X Speech-Language Pathologist, (Licence: ND 1502) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2022-01-20 |