| NPI | 1295324788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101009048) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-07-24 |