| NPI | 1265748768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20157) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 13368) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2012-09-20 |