| NPI | 1396091682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21249) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3686-154) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2013-08-29 |