| NPI | 1073194932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP20123) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022267-1) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-11-29 |