| NPI | 1407190747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21216) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8039) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2017-04-24 |