| NPI | 1912153446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP5956) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA slp007374) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2015-09-02 |