| NPI | 1871346221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10296) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 6118) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |