| NPI | 1467784900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16788) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017791) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |