| NPI | 1164589644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 011357) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 9885) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2022-02-16 |