| NPI | 1407101546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10011) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7597) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2020-10-13 |