| NPI | 1407099609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18917) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017336) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2012-11-15 |