| NPI | 1548467806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 923) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 16084) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-11-12 |