| NPI | 1114468139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA15241) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 22288) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |