| NPI | 1114695764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 38358) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9252) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2026-05-12 |