| NPI | 1700185352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA SP26728) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP7591) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2019-03-26 |