| NPI | 1083327027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12058) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 36514) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2026-04-23 |