| NPI | 1356824965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12008) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA sp27403) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-06-20 |