| NPI | 1619126679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8233) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15662) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |