| NPI | 1417365248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27664) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008450) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2025-01-23 |