| NPI | 1275921041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23964) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024302) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2024-02-28 |