| NPI | 1467991075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24970) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV 3173) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2022-01-25 |