| NPI | 1053668897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26926) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 904) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2026-05-15 |