| NPI | 1578293577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 2114) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 528443) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-05-12 |