| NPI | 1972232908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101009203) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz10630) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2025-01-10 |