| NPI | 1194033241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9720) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18500) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2013-04-18 |