| NPI | 1932679453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4521) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005673) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2023-05-22 |