| NPI | 1689721110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2908154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 7865) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |