| NPI | 1982020699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 6327) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1287) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2017-05-11 |