| NPI | 1902241433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 008744) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19479) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2016-01-13 |