| NPI | 1962867531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002341) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 23646) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-11-21 |