| NPI | 1225590672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006175) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-03-20 |