| NPI | 1922885417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 1010371) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-27 |