| NPI | 1760684575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008234) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 13563) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2012-09-11 |