| NPI | 1740619683 |
|---|---|
| Former Name | MICHELLE CUMAGUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60351642) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105462) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2020-04-06 |