| NPI | 1205571072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002496) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007926) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-01-19 |