| NPI | 1992109771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23085) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 9362) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2016-10-03 |