| NPI | 1205313376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26078) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1585) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |