NPI | 1386027555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP22874) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6831) |
Enumeration Date | 2015-07-06 |
Last Update Date | 2015-07-06 |