| NPI | 1154710911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30778) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17606) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2026-05-14 |