| NPI | 1043206915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 8359) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP-4011) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-06-16 |