| NPI | 1154089167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29657) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 16777) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |