| NPI | 1821237538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8301) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3221-154) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2011-04-12 |