| NPI | 1063001261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 35374) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16805) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2023-08-02 |