| NPI | 1760963359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005648) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2021-11-24 |