| NPI | 1114210408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22508) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004689) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2016-01-13 |