| NPI | 1942638762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006224) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP12900) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |