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 |