| NPI | 1790194389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22951) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 9161) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2017-06-26 |