| NPI | 1366015596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002401) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29520) |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2024-09-10 |