| NPI | 1225365885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004087) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 24523) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2023-08-25 |