| NPI | 1528424074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005233) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46002901A) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2023-02-07 |