| NPI | 1730305822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20240) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006349) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-04-13 |