| NPI | 1306582861 |
|---|---|
| Former Name | BROOKE GIDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008809) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2024-06-12 |