| NPI | 1801279260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24625) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 9866) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 112151) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2018-08-14 |