| NPI | 1801142278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101003501) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-10-30 |