| NPI | 1316286891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1716) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 17017) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2022-07-21 |