| NPI | 1255963674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601001154) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-06-29 |