| NPI | 1356826416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101002637) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2021-06-15 |