| NPI | 1114666393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 36896) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 033040) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-07-09 |