| NPI | 1043414667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 129) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 5888) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-08-02 |