| NPI | 1184000192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006901) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2020-08-24 |