| NPI | 1265888481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI 504) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 9297) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |