| NPI | 1053730788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 18830) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 6197) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-11-01 |