| NPI | 1851661367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20843) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006448) |
| Enumeration Date | 2012-01-01 |
| Last Update Date | 2018-07-20 |