| NPI | 1962094151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007781) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7151013495) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-06-29 |