| NPI | 1497595300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003765) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101009381) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2026-01-26 |