| NPI | 1104292523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 08319) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-07-06 |