| NPI | 1487805875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23650) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004336L) |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2021-04-12 |