| NPI | 1063298966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5348-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 32590) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |