| NPI | 1356750665 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: CA SLP23908)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: IL 242.003107)  | 
| Enumeration Date | 2014-08-12 | 
| Last Update Date | 2022-10-24 |