| NPI | 1861744799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP20869) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP14314) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2015-07-29 |