| NPI | 1952846164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 24314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 9998) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2016-12-23 |