| NPI | 1780881391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 987) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8191) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2012-09-10 |