| NPI | 1285241679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14414) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30339) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |