| NPI | 1235335274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006195) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003203A) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2019-04-08 |