| NPI | 1619239076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2821) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000428) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-09-27 |