| NPI | 1184100042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 18504) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 41145) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2026-04-17 |