| NPI | 1962706671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8714) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 363839) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2024-01-03 |