| NPI | 1669944450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101002116) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 710100216) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |