| NPI | 1710632914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 7101005202) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 710005202) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2023-06-30 |