| NPI | 1104591353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008784) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP13196) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13196) | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-04-29 |