NPI | 1518565530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 518098) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV NV20141234749) |
Enumeration Date | 2020-10-12 |
Last Update Date | 2021-08-26 |