| NPI | 1033606280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13667) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005493) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2019-07-05 |