| NPI | 1114322146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7270) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22185) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2017-03-21 |