| NPI | 1609922897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 972) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 7886) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2011-03-02 |