NPI | 1811293368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 19674) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA SPA 336) |
235Z00000X Speech-Language Pathologist, (Licence: CA RPE 6856) | |
Enumeration Date | 2011-02-01 |
Last Update Date | 2012-03-25 |