| NPI | 1578259305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008391) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000348) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-27 |