| NPI | 1497629901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242007883) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101009679) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |