| NPI | 1235237306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AL 4634) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AL 4634) |
| 207Y00000X Otolaryngology (Licence: GA SLP004225) | |
| 235Z00000X Speech-Language Pathologist (Licence: CA SP23418) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-01-31 |