| NPI | 1750837118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2009019318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004262) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 21155) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |