| NPI | 1881958809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8281) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 626) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |