| NPI | 1609048354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17096) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 4810) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2018-03-17 |