| NPI | 1821634874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007032) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 190091) |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 1435733) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-06-29 |