| NPI | 1073007852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28152) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: CA RPE12345) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2019-01-24 |