| NPI | 1447791710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IA 085848) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MN 9833) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-04-02 |