| NPI | 1265870471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21706) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8034) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2022-04-26 |