| NPI | 1386999621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016689) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 33451) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2024-12-19 |