| NPI | 1770922312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011249) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP11537) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |