| NPI | 1649609876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 12151073) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000142) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |