| NPI | 1619365574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9058) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13289) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |