NPI | 1043668122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 46253) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 10537) |
Enumeration Date | 2016-05-30 |
Last Update Date | 2020-11-19 |