NPI | 1306492673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007730) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2019-08-13 |
Last Update Date | 2025-03-09 |