| NPI | 1144623257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2000172088) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |