| NPI | 1528317260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004921) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 402) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2025-03-11 |