| NPI | 1861980450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005670) |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2023-02-03 |