| NPI | 1063100527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33623) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 17191) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |