| NPI | 1467052027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI R355098368502) |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2023-05-25 |