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 |