| NPI | 1972742096 |
|---|---|
| Former Name | LISA RENEE BUTCHER-PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8427) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3167-154) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2022-01-07 |