| NPI | 1245623248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5729) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 22470) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2015-08-20 |