NPI | 1740423177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9271) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2009007462) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2022-11-23 |