NPI | 1427186378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP17061) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P7981) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2022-02-15 |