| NPI | 1740738376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 922) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23506) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |