| NPI | 1427420231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 24529) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OR 15691) |
| 235Z00000X Speech-Language Pathologist (Licence: MI 7101000068) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2020-10-28 |