| NPI | 1285140061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16704) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 6907) |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2019-04-24 |