| NPI | 1487888640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 12738) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15945) |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2019-08-20 |