| NPI | 1871860387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 8316) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 7530) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |