| NPI | 1376628669 |
|---|---|
| Former Name | SARA M AVERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8655) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 04549) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-01-18 |