| NPI | 1003292426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP20763) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 20763) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2021-02-10 |