| NPI | 1821348921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 635) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 5818) |
| Enumeration Date | 2012-09-16 |
| Last Update Date | 2012-09-16 |