| NPI | 1386944858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17879) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2470) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2022-05-12 |