| NPI | 1144458779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 18763) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP 6221) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2011-04-28 |