| NPI | 1437276607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 12920) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 3403) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |