| NPI | 1245593557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 20878) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 10164) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2013-11-04 |