| NPI | 1851748206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 14137) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14137) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2017-01-09 |