| NPI | 1396862264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 5992) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 22122) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-11-13 |