| NPI | 1619219490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP5328) |
| Additional Taxonomies | 261Q00000X (Licence: CA 956154473) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |