| NPI | 1376100768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002341) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 26482) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2026-02-06 |