| NPI | 1154614998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18481) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06545) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2023-02-01 |