| NPI | 1841658333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9496) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4225-154) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |