| NPI | 1821372533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 6470) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |