| NPI | 1700811338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 531) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 7482) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-11-08 |