| NPI | 1902352693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 24243) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 005023) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |