NPI | 1932447083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21943) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA SPA2100) |
Enumeration Date | 2013-01-24 |
Last Update Date | 2021-10-25 |