| NPI | 1124484803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22213) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 9791) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 012882) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |