| NPI | 1114758067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23083) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017903) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |