| NPI | 1255649679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 1314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 17112) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2011-09-28 |