| NPI | 1942618392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8594) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1172) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2021-03-10 |