NPI | 1083959829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP20962) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 7759) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2013-08-21 |