| NPI | 1366852832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23119) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1665) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2020-08-04 |