| NPI | 1073072146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 20059) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 6807) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |