| NPI | 1992000368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24874) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006212) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2017-04-25 |