| NPI | 1477672566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7114) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 459446) |
| 235Z00000X Speech-Language Pathologist, (Licence: WI 897358) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2026-03-11 |