| NPI | 1013670488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007666) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09986) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |