| NPI | 1235680059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP16109) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-02-01 |