| NPI | 1295319606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14748) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27751) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2025-05-29 |