| NPI | 1871721126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17569) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1048) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2014-07-16 |