| NPI | 1134464142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006864) |
| Enumeration Date | 2012-12-02 |
| Last Update Date | 2015-05-15 |