| NPI | 1114205820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18690) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2021-01-14 |