| NPI | 1508599358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 6199) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 528308) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-12-13 |