| NPI | 1437621869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21901) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV 2877) |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2021-07-23 |