| NPI | 1407220650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24020) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025286) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2021-11-17 |