| NPI | 1013145606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2664) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11045) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 13029) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2019-01-15 |