| NPI | 1043484850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16637) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2806) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |