| NPI | 1003079179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22826) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP1738) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2020-01-06 |