| NPI | 1457076317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008622) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000485) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2023-10-09 |