| NPI | 1366595381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17166) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA slp004640) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2014-12-10 |