| NPI | 1427407675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22203) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002130) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-04-09 |