NPI | 1699108100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21924) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8643) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2015-03-17 |