| NPI | 1851798102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000654) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2015-04-13 |