| NPI | 1568957959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000113) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 01117932) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |