NPI | 1497630693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 529202) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 1042998) |
235Z00000X Speech-Language Pathologist, (Licence: WI 921310) | |
235Z00000X Speech-Language Pathologist, (Licence: 14447621) | |
Enumeration Date | 2025-08-07 |
Last Update Date | 2025-08-07 |