NPI | 1912638149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008034) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000043) |
Enumeration Date | 2022-06-20 |
Last Update Date | 2022-08-23 |