| NPI | 1588979058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 12114980) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 5718) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ 4218926) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2012-12-13 |