NPI | 1578121836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008520) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000384) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2023-08-30 |