| NPI | 1942041959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 2662) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 528865) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |