NPI | 1841574910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8873) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1876) |
235Z00000X Speech-Language Pathologist, (Licence: MN 470561) | |
Enumeration Date | 2011-10-06 |
Last Update Date | 2020-11-19 |