| NPI | 1487965968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005047) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004852A) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2016-04-14 |