| NPI | 1447342639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001354) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI ASHA 01008867) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-01-30 |