| NPI | 1992030654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 20726) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI 60110325) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2014-01-23 |