| NPI | 1760835755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26268) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004860) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 025732-1) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2018-10-01 |