| NPI | 1891191607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11633) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9360) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2016-03-14 |