| NPI | 1306092515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18624) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2129-0) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-07-06 |