NPI | 1043865397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007415) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
235Z00000X Speech-Language Pathologist, | |
235Z00000X Speech-Language Pathologist, (Licence: OH SP.13933) | |
Enumeration Date | 2019-08-05 |
Last Update Date | 2023-01-02 |