| NPI | 1457994212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI 1823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 5335) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 221622) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2022-07-11 |