| NPI | 1578895785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP3460) |
| Additional Taxonomies | 251C00000X (Licence: CA sp3460) |
| 251S00000X Community/Behavioral Health (Licence: CA sp3460) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |