| NPI | 1639319130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000151) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12045689) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2023-09-25 |