| NPI | 1316557374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006425) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027409-1) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |