| NPI | 1013267806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21349) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022190-1) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2019-08-07 |