| NPI | 1063001402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30867) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4796-154) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-02-07 |