| NPI | 1841426335 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000487) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 09141857) | 
| Enumeration Date | 2009-06-10 | 
| Last Update Date | 2023-10-13 |