| NPI | 1245463892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 18857) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 015111) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2015-03-23 |