| NPI | 1376862631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24415) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5687) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2019-01-28 |