| NPI | 1811311616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KY 243268) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MI 7101004236) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2018-07-16 |