| NPI | 1871984328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008237) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI L574329) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2023-03-24 |