| NPI | 1184110173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22899) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0127784) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2020-04-29 |