| NPI | 1356708192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP8695) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60608615) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |