| NPI | 1821288515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001622) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.000562) |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2017-03-28 |