| NPI | 1487819454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9197) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP15050) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |