| NPI | 1164931499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6296) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 37544) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2024-10-23 |