| NPI | 1396243416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26190) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 7636) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |