| NPI | 1639908783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101009739) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004007) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2026-02-02 |