| NPI | 1154096527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SLP33713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030803) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2022-08-10 |