| NPI | 1104295021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23320) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005864A) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |