| NPI | 1528323763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP19817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008810) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |