| NPI | 1326466004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: MI 7101000727) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000727) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-11-07 |