| NPI | 1720539596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MI 7152000301) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-05-24 |