| NPI | 1265002943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17346) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30512) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2023-02-27 |