| NPI | 1437574944 |
|---|---|
| Former Name | MICHELLE RENEE PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026552) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026552-01) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2025-03-26 |