| NPI | 1730193269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8601) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 8601) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 3963) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-27 |