| NPI | 1376041947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29518) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8467) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2019-12-04 |