| NPI | 1760655799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17067) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 4831) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2009-09-14 |