| NPI | 1912638149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| 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 | 2026-05-05 |