| NPI | 1023908183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 39772) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012380) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2026-09-16 |