| NPI | 1912537697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528506) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116328) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2023-02-08 |