| NPI | 1225207996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103963) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004319) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2018-01-25 |