| NPI | 1306165477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007275) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11197) |
| 235Z00000X Speech-Language Pathologist, (Licence: NV 1278) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2021-07-06 |