| NPI | 1649378415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8405) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008308) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-10-02 |