| NPI | 1104398684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP4135) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005796) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2025-06-25 |