| NPI | 1609157114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10746) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2016-02-05 |