| NPI | 1578809018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20428) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007690) |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2013-01-01 |