| NPI | 1043644586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21507) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12316) |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2014-01-02 |