| NPI | 1063749240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP012033) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP17619) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2022-11-28 |