| NPI | 1295183044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 25409) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 10497) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-07-22 |