| NPI | 1184876468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE5459) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2012-11-08 |