| 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 |