| NPI | 1942476627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101003946) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5762) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2015-12-15 |