| NPI | 1356868152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005461) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017029526) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2023-10-10 |