| NPI | 1013670579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 13823) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19327) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2026-05-15 |