| NPI | 1699336032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006894) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 202117) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2026-06-02 |