| 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 |