| NPI | 1073846432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 10447) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 4365) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2020-07-02 |