| NPI | 1740872829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007158) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006276) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-03-18 |