| NPI | 1194759795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 619) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 1194759795) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-02-26 |