| NPI | 1316292246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5978) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 20698) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2016-07-14 |