NPI | 1528364841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 25192) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA SPA 1096) |
Enumeration Date | 2011-02-03 |
Last Update Date | 2017-11-17 |