| NPI | 1750756599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004863) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008637) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2017-07-18 |