NPI | 1003420670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33535) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7245) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2023-03-23 |