| NPI | 1598278889 |
|---|---|
| Former Name | CARLY FLEMING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 459929) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8881) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |