| NPI | 1891965323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010130) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8834) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2019-06-04 |