| NPI | 1336264308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 4760) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-07-16 |