| NPI | 1851846125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001829) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012790) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 24668) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |