| NPI | 1306055108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 5577) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15128) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-05-17 |