| NPI | 1578165916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007541) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7151001794) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-05-25 |