| NPI | 1194275743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10369) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 25035) |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000729) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2019-07-20 |