| NPI | 1134798812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007924) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000066) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-03-13 |