| NPI | 1710365424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 18156) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA 10801) |
| 235Z00000X Speech-Language Pathologist (Licence: HI 619) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |