| NPI | 1083586754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 14458702) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 036644) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2026-09-28 |