| NPI | 1548596844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 18938) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202005887) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2011-06-07 |