| NPI | 1689416604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011443) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008733) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-19 |