| NPI | 1801055959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8326) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8326 (temporary)) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2009-05-12 |