| NPI | 1407639826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 35393) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134267) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |