| NPI | 1912178203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2103-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8011) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2024-01-25 |