| NPI | 1164723573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13348) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP15889) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |