| NPI | 1427626365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 415906) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115778) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-03-02 |