| NPI | 1992369839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013092) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005897) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2021-07-01 |