| 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 |