| NPI | 1790961266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 12177) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 12177) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2015-02-27 |