| NPI | 1104167279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22075) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002597) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2019-03-28 |