| NPI | 1881138667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 12125514) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001310) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |