| NPI | 1962085167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000889) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-05-30 |