| NPI | 1285015271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 25339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012400) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2017-04-20 |