| NPI | 1225270648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 09142641) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2021-08-25 |