| NPI | 1750757290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP-23282) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 9090) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-10-23 |