| NPI | 1164977070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 0407845) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19791) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |