| NPI | 1346766615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003814) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29600) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2025-06-02 |