| NPI | 1275955387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP3209) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 00497511) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |