| NPI | 1245490580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16237) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2014-01-13 |