| NPI | 1295388619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30197) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 13649) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-04-10 |