| NPI | 1831318930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101002170) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004450) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-07-24 |