| NPI | 1700316130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016052) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9529) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2020-10-02 |