| NPI | 1497153696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27786) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 510779B) |
| Enumeration Date | 2014-12-21 |
| Last Update Date | 2018-10-11 |