| NPI | 1487905279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30013) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6000) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2021-01-05 |