| NPI | 1043733074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30824) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76529-SP-SL) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-10-06 |