| NPI | 1588370803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101999451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 7101000451) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2026-03-17 |