| NPI | 1952800369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MN 10152) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202008695) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-08-27 |