| NPI | 1740361450 |
|---|---|
| Former Name | SUSAN MARIE FEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 5815) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 770154) |
| 235Z00000X Speech-Language Pathologist, (Licence: ND 1333) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-10-01 |