| NPI | 1710444823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006313) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005852) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2020-01-30 |