| NPI | 1245577972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10681) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 21212) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2017-05-08 |