| NPI | 1376835199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 12137620) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2023-02-27 |