| NPI | 1528561651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27892) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12697) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2019-04-04 |