| NPI | 1700208717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101002971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI L2552631) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2023-02-11 |