| NPI | 1487900890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21980) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010398) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2021-09-18 |