| NPI | 1073894853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9982) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006400) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2026-06-10 |