| NPI | 1184910549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: CA 110066844) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA SP-551) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA SPA 551) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-07-01 |