| NPI | 1578957635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 5736) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 5736) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-11-03 |