| NPI | 1770107153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1918) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 10575) |
| 235Z00000X Speech-Language Pathologist, (Licence: ND 1836) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-07-07 |