| NPI | 1568288199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528842) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 1428-SLP) |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2026-03-23 |