| NPI | 1629226345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11094) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15155) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2014-10-15 |