| NPI | 1215392402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 15915) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225X00000X Occupational Therapist (Licence: CA 11662) | |
| 225X00000X Occupational Therapist (Licence: CA 13678) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 1930) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 3776) | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |