| NPI | 1285006023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA SP11502) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OK 2462) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |