| NPI | 1013151984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006566) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008769) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2023-08-10 |