| NPI | 1861670390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 15895) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7327) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2014-01-15 |