| NPI | 1033989868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 38662) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 6364) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2026-05-14 |