| NPI | 1912167602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI L2546701) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16476) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2013-11-14 |