| NPI | 1033695895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006285) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005949) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-08-19 |