| NPI | 1528462785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008229) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23344) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-01-26 |