| NPI | 1952844516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MI 903852) |
| 235Z00000X Speech-Language Pathologist (Licence: NC 12204) | |
| 235Z00000X Speech-Language Pathologist (Licence: WI 4819) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2023-01-24 |