| NPI | 1205640935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 40239) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12322) |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2026-04-21 |