| NPI | 1609400555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004067) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 24093) |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |