NPI | 1538500012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21842) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8255) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2021-12-01 |