| NPI | 1134305261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14536) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2013-07-02 |