| NPI | 1639618374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 499213074) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026468) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |