NPI | 1881070399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24342) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 9991) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2017-06-19 |