| NPI | 1164899076 |
|---|---|
| Other Name | JOHANNA PROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11611) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008738) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2025-06-30 |