| NPI | 1811303175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101003484) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2018-11-21 |