| NPI | 1952661431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17528) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 006556) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2022-01-28 |