| NPI | 1306352174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP27462) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK SP5959) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2023-06-09 |