| NPI | 1164929287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31784) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000014) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-08-30 |