| NPI | 1962853952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528298) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011005) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-01-10 |