| NPI | 1558683672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7776) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105449) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2021-02-15 |