| NPI | 1144870510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28834) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 20804) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-08-04 |