| NPI | 1811551971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008691) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60947875) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2024-01-18 |