| NPI | 1760886097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21478) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5410) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2015-07-16 |