| NPI | 1699431221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 1043622) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 2541) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2026-05-01 |