| NPI | 1952610776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3446) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2018-07-11 |