| NPI | 1386773935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1498) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8130) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2024-04-10 |