| NPI | 1194265330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29121) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9426) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2022-07-25 |