| NPI | 1669105755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008476) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000373) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-05-26 |