| NPI | 1124510714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008555) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004832) |
| 235Z00000X Speech-Language Pathologist, (Licence: AK 207042) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-08-28 |