| NPI | 1376318246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528723) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 2468) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |