| NPI | 1396831103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA249) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-02-02 |