| NPI | 1457074957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008460) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000337) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-04-22 |