| NPI | 1689222846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21596) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.004257) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |