| NPI | 1396042396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17980) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-8176-SL) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2024-10-16 |