| NPI | 1114274321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26319) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3702-154) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2018-04-13 |