| NPI | 1831598853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24040) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146000568) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-03-30 |