| NPI | 1003166620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29149) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 016370) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2025-11-26 |