| NPI | 1871832535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8847) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3692-154) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |