| NPI | 1043700669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24088) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9031) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL010057) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |