| NPI | 1508840877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009143) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP12848) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-07-06 |