| NPI | 1316608284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 101011) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-02-07 |