| NPI | 1184509986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 39091) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17135) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2026-05-13 |