| NPI | 1982141909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9712) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2022-02-28 |