| NPI | 1457971566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27767) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14145106) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-05-26 |