| NPI | 1700362969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ND 1643) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MN 10086) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |