| NPI | 1922340215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17775) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1554) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2014-05-28 |