| NPI | 1629354790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA spa3965) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE6231) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2018-03-17 |