| NPI | 1861662801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2818) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15582) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2018-10-17 |