| NPI | 1790145043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1476) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004338) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2019-03-18 |