| NPI | 1437794559 |
|---|---|
| Former Name | MICHELLE THERESA BRUNNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012593) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2024-11-11 |