| NPI | 1174241368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 35485) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16866) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-01-09 |