| NPI | 1972743524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101003748) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 01030574) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2021-08-23 |