| NPI | 1558614883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20893) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 7653) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2021-05-13 |