| NPI | 1164643185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA sp 15749) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6978) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004519) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-10-26 |