| NPI | 1033362306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP15053) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 01680801) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2018-01-29 |