| NPI | 1265919922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27632) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61234172) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2023-09-29 |