| NPI | 1588864391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7801) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11989) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2011-03-08 |