| NPI | 1780288076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008157) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007277A) |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2022-09-15 |