| NPI | 1396264990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 32003) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 08485) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2021-09-28 |