| NPI | 1265106074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 5061) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30427) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2023-08-02 |