| NPI | 1033358866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 15630) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6987) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2016-12-07 |