| NPI | 1902099922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2007019046) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-09-10 |