| NPI | 1316506504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MI 7101008085) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2025-04-24 |