| NPI | 1831672070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 518293) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 081860) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2022-05-26 |