| NPI | 1043254204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101009458) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002805) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-08-28 |