| NPI | 1164002499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34750) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20547) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2026-03-24 |