| NPI | 1699978262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 12084558) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2018-09-26 |